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General NPI Number Information
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NPI Number | 1194332601
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Entity Type | Individual
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Provider Name | ERICH ANTHONY REUHS MS-CCC/SLP
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Gender | Male
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Dates
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Enumeration Date | 09/29/2020
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Last Update Date | 09/29/2020
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Provider Practice Location Address
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Address Line | 1415 W FOSTER AVE
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City | CHICAGO
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State | IL
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Zip | 60640-2288
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Country | US
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Telephone | 847-624-0720
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Fax |
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Provider Business Mailing Address
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Address Line | 2418 W EASTWOOD AVE # 2
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City | CHICAGO
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State | IL
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Zip | 60625-2908
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Country | US
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Telephone | 847-624-0720
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 146009653
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License Number State | IL
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